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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208810
Report Date: 10/08/2025
Date Signed: 10/08/2025 04:15:15 PM

Document Has Been Signed on 10/08/2025 04:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:COLE VOCATIONAL SERVICES BAKERSFIELD 2FACILITY NUMBER:
157208810
ADMINISTRATOR/
DIRECTOR:		MADKINS, JEANETTEFACILITY TYPE:
775
ADDRESS:5101 MING AVETELEPHONE:
(661) 834-8700
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 75CENSUS: 44DATE:
10/08/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Hanh MirelesTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) J. Duarte conducted an unannounced Annual inspection visit. LPA met with Program Director Tisa Williams and Area Director Hanh Mireles arrived shortly after. LPA discussed the purpose of the visit.

LPA and the Program Director toured the facility together. Facility was maintained at a temperature of 71 degrees F. LPA observed adequate seating and lighting throughout the facility. No passageway obstructions or hazards were observed inside or outside. Client restrooms were toured, observed to be clean, and operational with adaptive devices. The restroom hot water measured at 119 degrees F. Facility dining area was toured. Clients bring their own lunches to program. Locked cubbies were observed in several areas. Cleaning supplies were observed behind locked door, in a storage room.

LPA toured the Art Room, Sensory Studio, Recreation Room, Computer Room, Game Room, Library, Relaxation Room, and Learning Room. LPA observed clients in these rooms having a morning snack and actively engaged in their activities with staff supervising.

Medications were observed to be locked and secured in the directors office. LPA reviewed a sample of medications and the MARS and per records, medication is being administered as prescribed.

Facility extinguishers present throughout facility with a service date of 10/23/24. Facility is equipped with pull stations, strobe lights, sprinklers. Fire sprinkler system was inspected by the State Fire Marshall on 7/15/25, per staff records. Carbon monoxide detectors and smoke detectors present. First Aid kits present and observed to have all required items. Last fire drill was conducted on 08/29/25, per staff records.

Continued on LIC 809C.
NAME OF LICENSING PROGRAM MANAGER: Serigy Pidgirny
NAME OF LICENSING PROGRAM ANALYST: Jimmy Duarte
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 10/08/2025 04:15 PM - It Cannot Be Edited


Created By: Jimmy Duarte On 10/08/2025 at 01:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: COLE VOCATIONAL SERVICES BAKERSFIELD 2
FACILITY NUMBER: 157208810

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
82020
Fire Clearance
All day programs shall secure through the licensing agency and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in that the door to exit the breakroom has a barrel bolt at the top of the door and the barrel was on, securing the door from opening, which poses an immediate health, safety or personal rights risk to persons in care.

Director Hannah Mireles stated that this may be because they have clients that may be a risk to AWOL.
POC Due Date: 10/09/2025
Plan of Correction
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POC corrected during visit. Director Mireles contacted maintenance and had the barrel bolt removed.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Serigy Pidgirny
NAME OF LICENSING PROGRAM MANAGER:
Jimmy Duarte
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2025


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: COLE VOCATIONAL SERVICES BAKERSFIELD 2
FACILITY NUMBER: 157208810
VISIT DATE: 10/08/2025
NARRATIVE
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Continued from LIC 809.

Client’s records contained signed Admission Agreement, Personal Rights, and TB clearance. Staff files were reviewed for good health. It was verified that current staff on duty are CPR certified.

The break room had a barrel bolt at the top of the door to exit the facility and the barrel was on, securing the door from opening. A civil Penalty is hereby assessed on LIC 421IM.

Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.

The following documents are requested and need to be submitted to Fresno CCL office by 10/15/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC610D), Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. Submit documentation to indicate the change of administrator. In addition, the facility is to submit proof of fire inspection of the smoke/ carbon monoxide being inspected by the fire department.

An exit interview was conducted with the Program Director. Report signed on-site; a copy of this report, 809D with appeal rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Serigy Pidgirny
NAME OF LICENSING PROGRAM ANALYST: Jimmy Duarte
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC809 (FAS) - (06/04)
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